Hoarseness Secondary To Cardiovascular Disease: Cardiovocal Sydrome In a Patient With Pulmonary Artery Aneurysm and Giant Atria

Authors : Serkan Duyuler, Pınar Türker Bayir, Ahmet Korkmaz, Yeşim Güray, Erdemli Özcan

Pages : 49-51

View : 33 | Download : 8

Publication Date : 2015-03-01

Article Type : Other

Abstract :Cardiovocal syndrome or Ortner syndrome is the hoarseness secondary to recurrent laryngeal nerve palsy due to compression enlarged cardiovascular structures. Dilated left atrium with mitral valve disease is a well-known cause for this rare syndrome; however several cardiovascular conditions also contribute to the pathogenesis. Data suggest that, recurrent laryngeal nerve seems to be compressed in the window between enlarged hypertensive pulmonary artery, aorta and ligamentum arteriosum not solely by enlarged left atrium. In this context, we presented a case of cardiovocal syndrome in a patient with pulmonary artery aneurysm, giant atria and corrected atrial septal defect. The patient was admitted for gradual hoarseness for two years and laryngoscopy revealed left vocal cord paralysis. Cardiovascular examination with transthoracic echocardiography showed pulmonary artery aneurysm with giant atria which is compatible with cardiovocal syndrome
Keywords : hoarseness, cardiovocal syndrome, pulmonary artery, aneurysm